Organization Active NPI

Rusty L. Cain DPM

  • Foot & Ankle Surgery Podiatrist
  • Fairmont, WV
National Provider Identifier
1609067008
Registry record updated Feb 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
00349 Issued in WV
Legal business name
RUSTY L. CAIN DPM
Doing business as
Doctors Foot Center
Practice address
1228 Country Club Rd
Fairmont, WV 26554-2369
Phone
(304) 363-3338
Fax
(304) 363-3359
NPI assigned
Aug 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Rusty Lee Cain, DPMNPI 1811908270
Title
Podiatrist/Owner
Phone
(304) 363-3338

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 00349 WV Primary

Addresses

Primary practice location

1228 Country Club Rd
Fairmont, WV 26554-2369

Mailing address

1228 Country Club Rd
Fairmont, WV 26554-2369
Phone (304) 363-3338

Other identifiers 1

IdentifierTypeStateIssuer
6420007001MedicaidWV

Other names 1

  • Doctors Foot Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1186617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202860800000",
    "number": "1609067008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1228 COUNTRY CLUB RD",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265542369",
            "telephone_number": "304-363-3338",
            "fax_number": "304-363-3359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1228 COUNTRY CLUB RD",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265542369",
            "telephone_number": "304-363-3338",
            "fax_number": "304-363-3359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSTY L. CAIN DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-09",
        "last_updated": "2008-02-13",
        "status": "A",
        "authorized_official_last_name": "CAIN",
        "authorized_official_first_name": "RUSTY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PODIATRIST/OWNER",
        "authorized_official_telephone_number": "304-363-3338",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "WV",
            "license": "00349",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6420007001",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Doctors Foot Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fairmont, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.